How To Know if Digestion Has Been Impacted

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A Common Digestive Symptom Triad in Chronic Illness and Mold-Injured Patients

by Dr. Susan Tanner, MD

The importance of a healthy diet and eating “clean food” has been reiterated dozens of times in previous articles, both to keep the load on the body’s immune system as low as possible and to maintain a healthy nutritional status.  We would be remiss, however, if we did not point out the fact that many mold-harmed patients are eating a healthy diet, are avoiding problem foods, but are still having both significant gastrointestinal symptoms and demonstrable nutrient deficiencies. Because the gut, which you may recall is the lining of the small intestine, is a living and vital organ, it is particularly vulnerable and susceptible to becoming impacted by mold, mycotoxins, environmental chemicals, and chronic infections. Likewise, hydrochloric acid, which is produced in the lining of the stomach can be affected by these toxic influences as well; this, as I will explain, can further complicate and exacerbate gastrointestinal and other symptoms throughout the body.

Symptoms of Maldigestion and Poor Absorption

There are several symptoms that lead us to suspect that poor absorption or maldigestion is taking place before the first test is ever even done. These may include bloating, burping, upset stomach, diarrhea, gas, a desire to eat when not hungry, indigestion, undigested food in the stool, fatigue, brittle nails and hair, hair loss, numbness and tingling in the extremities, muscle aches, cramping, and fatigue.

To help explain why symptoms of maldigestion and poor absorption may occur and where things can go awry, it helps to take a deeper look at the digestive process as a whole. As food is chewed and swallowed, the release of amylase occurs in the saliva to help begin to process carbohydrates.  Then, when food enters the stomach, it is held for a few hours as hydrochloric acid is secreted by the cells lining the stomach wall.  This acid is essential for beginning the breakdown of proteins and some fats as well as the continued processing of carbohydrates.  The stomach chamber can actually become quite acidic, and this low pH then signals the muscular valve at the base of the stomach to open, allowing the passage of the food slurry into the upper small intestine.

In the small intestine, the pancreas secretes necessary enzymes, amylase, and lipase, to continue carbohydrate, protein, and fat breakdown.  The gallbladder also adds bile salts to the process to continue to help with fat breakdown. The purpose of all of this breakdown is to transform the food that you ate into a structure that allows nutrients to be absorbed by the blood vessels housed throughout the small intestine.

The Purpose of Stomach Acid

There is a level of acidity required to absorb certain vitamins and amino acids, and if it is sufficiently low, then deficiencies can present even if these nutrients are being consumed.  An example of this is Vitamin B12, probably one of the most commonly deficient vitamins that practitioners see in their patients.  In non-vegetarian or non-vegan patients, usually, enough B12 is consumed through meat protein but it requires an acidic enough environment along with something called “intrinsic factor”, formed in the stomach lining, to be absorbed and utilized by the body. Severe Vitamin B12 deficiency, referred to as pernicious anemia, can have some very serious health impacts, ranging from nephropathy (tingling and numbness in the extremities), and glossitis (very red and swollen tongue), to neuropsychiatric symptoms.  Prior to getting to this degree, however, B12 deficiency can present as fatigue, depression, lethargy, and mild nerve symptoms.  I mention B12 because it is one of the more recognizable vitamin deficiencies, but there are many others that happen on lower, less noticeable levels; the symptoms can range from mild to severe.  This is the reason poor nutrient absorption and maldigestion must be addressed when evaluating health and wellness on any level!

Stress, Mold, and Poor Digestion

Going back to the reasons that chronically ill or mold-exposed patients may have digestive insufficiency and poor absorption issues are best understood by realizing how toxins and inflammation can impact the normal function of the stomach, pancreas, gut, and liver.  Starting with the stomach, a decrease in stomach acid can occur by the direct impact of illness or toxins on the acid-secreting cells of the stomach lining.  It can become an endless chicken or egg debate about which occurred first, in that the lower acid causes more susceptibility to infections, and the infections or exposures cause lower stomach acid. Either way, it is problematic for proper digestion and nutrient absorption.

A combination of factors, including stress, environmental exposures, illnesses, and medications can also start a digestive issues cycle. A common and often missed diagnosis is helicobacter pylori (H. Pylori), a spirochete bacterium, that can infect the stomach lining and dramatically decrease acid production.  The lower acid then allows H. Pylori proliferation.  Interestingly, many people who have H. Pylori have reflux and what they term “acid stomach”, but the fact is that often the true acidity is LOW.  Then, the meds taken such as acid reducers and proton pump inhibitors to make one feel better temporarily are really just affecting maldigestion, not over-acid production. Over time, using these meds may make things worse! A takeaway here is that “acid stomach” may be anything but that, and chronic use of digestive medications, whether by prescription or over-the-counter may be doing more harm than good. Thus, my advice with reflux or acid stomach symptoms is to always look for the cause! If you are going after and treating the cause, you will then be doing MORE to alleviate your symptoms in a much more long-term fashion.

The pancreas, which is responsible for amylase and lipase production for fat and protein breakdown is heavily impacted by stressors of every kind–physical, emotional, and environmental.  Enzyme production is a very energy-requiring process.  When the body is overly stressed, in an effort to conserve energy, the pancreas may decrease its enzyme production just to protect itself and the body in general. Unfortunately, this may lead to worse problems, like malabsorption that leads to nutrient deficiency, and body balance spins further out of control. The stress on the body from a significant environmental illness very often leads to these pancreatic insufficiencies.

The liver and gallbladder are necessary for the digestive process because they produce and add the bile salts that are essential for the emulsification of fats. When the liver becomes overly taxed due to having to process increased toxins from mold, other environmental exposures, or from illnesses, bile salt production can greatly increase or decrease.  Too much bile and diarrhea will result.  Too little and constipation can ensue, or then progress to diarrhea simply because fats are not being broken down and react in a very stimulatory way to the colon lining. Symptoms may lead us to perform certain tests that will help to identify the severity and specificity of the reasons why those symptoms are occurring.

How to Know if Digestion Has Been Impacted

As yucky as it may sound, take a look at your stool in the toilet bowl.  Is there undigested food?  Is there an oily skim on the toilet water? Is stool exceptionally light and pale or extremely dark?  What about explosive gas?  If any of these are present, then there is maldigestion.

Two things that seem to effect people are:

  • LowB12 levels – Any B12 level below 400 is likely deficient regardless of the lab normal range.
  • Helicobacter pylori, the bacteria that can bore into the stomach wall can be detected by an antibody test also done on the blood.  However, these antibody levels are only helpful if you have never been treated for it, as they do not normalize once the bacteria are eradicated.  And, keep in mind that helicobacter pylori eradication can take much, much longer than the two weeks of treatment commonly prescribed.  It may need months of specific therapies. Particularly if there has been a mold or mycotoxin exposure that has led to decreased immune protection in the gut; this must be addressed to be able to completely eradicate the pathogens!

Also, but MOST importantly, the first order of business should always include ensuring that the air you are breathing and the food you are eating is clean and free of toxins.

Helpful Digestive Interventions

If you feel that you are in a mold-free environment and have a non-inflammatory diet, but are still having digestive issues and want to try some self-treatment before tests, then there are a few things that can be quite helpful.  

  1. One is the use of natural digestive enzymes found in Pineapple, Mango and Papaya added to a KePro smoothie. KePro is designed to harmonize gut bacteria and digestion. KePro is gentle on the stomach and affordable.
  2. Restoring the gut lining to its needed integrity can be accomplished using probiotics, fiber, healthy fats, oils, and immunoglobulins, these nutrients are designed to heal the immune lining of the gut and prevent toxins from entering the bloodstream. Your KePro specialist can help you determine whether to do all these at once or use a step-by-step process.
  3. KePro was designed to supply probiotics & nutrition to help keep the body healthy, many find KePro’s probiotics & nutrition can help in the process of restoring good gut health.

As you can see, a properly functioning digestive system not only feels better but can lead to stronger immunity and a healthier, happier you!

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